TY - JOUR T1 - DEstructive lesions of the nose AU - Wise F Y1 - 1949/02/19 N1 - 10.1001/jama.1949.02900250046021 JO - Journal of the American Medical Association SP - 542 EP - 542 VL - 139 IS - 8 N2 - To the Editor:—  In the Jan. 1, 1949 issue of The Journal, page 49, the Paris Letter deals with the treatment of leprosy. In the second paragraph, the writer mentions "erythematous lupus of the face, with a large excavation of the nose" and "an ulcerative erythematous lupus; the soft parts of the nose were destroyed."These statements are misleading to those who are not versed in dermatology. The name erythematous lupus, or lupus erythematodes, as used here, should be "lupus vulgaris" or "tuberculosis lupoides." Destructive lesions of the tissues, especially of the nose, do not occur (except in extremely rare instances), in patients with lupus erythematosus. Destructive lesions of the nose, however, are common manifestations of lupus vulgaris, a tuberculosis of the tissues.While it is to be assumed that the patients mentioned were suffering from destructive lesions caused by the tubercle bacillus, it should be borne in mind that SN - 0002-9955 M3 - doi: 10.1001/jama.1949.02900250046021 UR - http://dx.doi.org/10.1001/jama.1949.02900250046021 ER -